Clinical Epidemiology and Global Health最新文献_第10页

Public awareness about infant prematurity and its related health issues: A national-based survey in Jordan 公众对婴儿早产及其相关健康问题的认识：约旦的一项全国性调查

IF 2.3

Clinical Epidemiology and Global Health Pub Date : 2025-05-01 DOI: 10.1016/j.cegh.2025.102046

Reem Ali , Karimeh Alnuaimi , Buthyna Alnasarat

{"title":"Public awareness about infant prematurity and its related health issues: A national-based survey in Jordan","authors":"Reem Ali , Karimeh Alnuaimi , Buthyna Alnasarat","doi":"10.1016/j.cegh.2025.102046","DOIUrl":"10.1016/j.cegh.2025.102046","url":null,"abstract":"<div><h3>Background</h3><div>The incidence of premature birth is high in Jordan, with no significant lowering of figures seen during the past decades. The knowledge of the associated high morbidity and mortality rate among preterm infants makes prematurity a high priority for the healthcare system in Jordan. This study aims to assess public awareness about prematurity, preterm infants’ health challenges and developmental disorders.</div></div><div><h3>Methods</h3><div>A national-based survey was employed to collected data on people's level of awareness. Online questionnaires were distributed across the country using proportional clusters protocol which was based on the geographical distribution of the population in Jordan.</div></div><div><h3>Results</h3><div>3048 Jordanians, aged from 18 to 77 years, completed the questionnaires; the majority of them were females and held married status. Results showed that 69.9 % of respondents gave a correct definition of prematurity. The average percentages of correct answers regarding the seriousness of prematurity, risks, and health and developmental problems were 71.5 %, 74.4 %, and 62.5 %, respectively. People generally failed to accurately identify premature infants’ long-term health and developmental problems. ANOVA results showed that the levels of awareness are significantly higher among people who have high family income (p < 0.001), are well-educated (p < 0.001), and employed in medical fields (p < 0.001).</div></div><div><h3>Conclusion</h3><div>Educational initiatives are needed to enhance public awareness, particularly among the poor and less educated sectors of society. Lectures could be given by healthcare professionals at hospitals, and posted via social media, to educate people about prematurity and premature infants' health-related issues, with attention paid to infants’ long-term health and developmental problems.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"33 ","pages":"Article 102046"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143886493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Strategic overview of rehabilitation practices and action plans for byssinosis: A holistic review 肝纤维化的康复实践和行动计划的战略概述：一个全面的审查

IF 2.3

Clinical Epidemiology and Global Health Pub Date : 2025-05-01 DOI: 10.1016/j.cegh.2025.102050

K. Vaishali , Sarasa Meenakshi , Mukesh Kumar Sinha , Nitesh Kumar , Revati Amin , Krishna Murti

{"title":"Strategic overview of rehabilitation practices and action plans for byssinosis: A holistic review","authors":"K. Vaishali , Sarasa Meenakshi , Mukesh Kumar Sinha , Nitesh Kumar , Revati Amin , Krishna Murti","doi":"10.1016/j.cegh.2025.102050","DOIUrl":"10.1016/j.cegh.2025.102050","url":null,"abstract":"<div><h3>Purpose</h3><div>This review aims to outline comprehensive care for byssinosis, covering its pathophysiology, diagnosis, clinical characteristics, and physiotherapist-led interventions.</div></div><div><h3>Materials and methods</h3><div>We conducted a thorough literature review focusing on the pathophysiology, diagnosis, and management of byssinosis. Key components of care were identified through analysis of studies, guidelines, and expert opinions, with particular attention to physiotherapist interventions.</div></div><div><h3>Results</h3><div>Byssinosis progresses through three stages, with varying symptoms, yet its burden in India remains poorly understood, leading to inadequate prevention and management efforts. Treatment involves education, supplemental oxygen, pulmonary rehabilitation, and symptom control, with physiotherapists playing a crucial role in their implementation.</div></div><div><h3>Conclusion</h3><div>Comprehensive care for byssinosis requires a tiered rehabilitation framework, considering its diverse clinical presentation. Physiotherapists are pivotal in delivering essential interventions and enhancing patient outcomes and well-being.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"33 ","pages":"Article 102050"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pattern and determinants of unintentional injuries in children (<18 years) from rural puducherry: A cross-sectional analytical study 农村地区儿童（<18岁）意外伤害的模式和决定因素：一项横断面分析研究

IF 2.3

Clinical Epidemiology and Global Health Pub Date : 2025-05-01 DOI: 10.1016/j.cegh.2025.102039

Burhana Begom Choudhury, S. Ganesh Kumar, Henna K

{"title":"Pattern and determinants of unintentional injuries in children (<18 years) from rural puducherry: A cross-sectional analytical study","authors":"Burhana Begom Choudhury, S. Ganesh Kumar, Henna K","doi":"10.1016/j.cegh.2025.102039","DOIUrl":"10.1016/j.cegh.2025.102039","url":null,"abstract":"<div><h3>Background</h3><div>Unintentional injuries (UI) among <18 years contributes to a significant public health problem due to their physical and psychological makeup. This study estimated the occurrence of unintentional injuries (UI) and identifies the factors associated with common unintentional injuries among children below 18 years residing in rural areas of Puducherry, India.</div></div><div><h3>Method</h3><div>This cross-sectional study included 596 children below 18 years who are living in the study area. Falls, road traffic injuries, burns, near drowning, poisonings and other injuries reported by participant or care-giver that had happened in last one year or in their entire life time which can be recalled was considered as unintentional Injuries. A pre-tested structured questionnaire was used to collect data regarding injuries. Simple descriptive analysis and the Chi-square test were incorporated in statistical analysis. In order to understand the factors associated with UI, log binomial regression model was performed.</div></div><div><h3>Results</h3><div>The prevalence of UI was found to be 32.6 % (95 %CI: 28.9–36.4) among 596 study participants. The common types of UI reported were accidental falls (34 %), traffic related injuries (20.6 %) and animal bites (17.5 %). It revealed that the socio-demographic characteristics of the study participants were significantly associated with the occurrence of UI such as gender and age of child, educational status of the child and primary caregiver, socio-economic status from which the child belongs to, age of the primary caregiver.</div></div><div><h3>Discussion</h3><div>The study highlights the importance for creating awareness about injury prevention strategies and developing policies to lower the burden of UI in children.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"33 ","pages":"Article 102039"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143904431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring support and coping mechanisms for tribal infertility: A mixed methods study 探索部落不孕症的支持和应对机制：一项混合方法研究

IF 2.3

Clinical Epidemiology and Global Health Pub Date : 2025-05-01 DOI: 10.1016/j.cegh.2025.102031

Arvind Santu Jadhav , Dipti Govil

{"title":"Exploring support and coping mechanisms for tribal infertility: A mixed methods study","authors":"Arvind Santu Jadhav , Dipti Govil","doi":"10.1016/j.cegh.2025.102031","DOIUrl":"10.1016/j.cegh.2025.102031","url":null,"abstract":"<div><h3>Objective</h3><div>The study explores the support mechanisms and coping strategies used by 153 tribal couples to navigate infertility.</div></div><div><h3>Methods</h3><div>The data was collected through quantitative and qualitative surveys and analyzed using descriptive and thematic analysis.</div></div><div><h3>Results</h3><div>The findings suggest that women received both positive and negative support from their spouses and society, while the family was not positive towards their infertility status. The role of formal healthcare providers and harassment from the community were two significant factors in getting high social support. Women resorted to reliance on the treatment of traditional healers, spending time with a relative's child, or keeping themselves engaged in various kinds of work and activities, remaining in isolation and proposing remarriage or fostering as coping strategies.</div></div><div><h3>Conclusions</h3><div>The research contributes to a deeper understanding of the type of social support for infertility issues of tribal infertile women, which may impact their emotional and social well-being. It suggests potential avenues for intervention and support.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"33 ","pages":"Article 102031"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143908229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Food insecurity: A formidable barrier to medication adherence in a vulnerable population with chronic diseases 粮食不安全：患有慢性疾病的弱势群体坚持服药的巨大障碍

IF 2.3

Clinical Epidemiology and Global Health Pub Date : 2025-05-01 DOI: 10.1016/j.cegh.2025.102033

Kumar Guru Mishra , Nabnita Patnaik , Bobba Harshitha , Anu Mohandas , Adrija Roy , Snigdha Patnaik

{"title":"Food insecurity: A formidable barrier to medication adherence in a vulnerable population with chronic diseases","authors":"Kumar Guru Mishra , Nabnita Patnaik , Bobba Harshitha , Anu Mohandas , Adrija Roy , Snigdha Patnaik","doi":"10.1016/j.cegh.2025.102033","DOIUrl":"10.1016/j.cegh.2025.102033","url":null,"abstract":"<div><h3>Background</h3><div>Food insecurity is a global challenge with profound implications for health, particularly among individuals with chronic diseases. This study aimed to assess the prevalence of food insecurity and its association with medication adherence in a rural Indian population with chronic diseases.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted among 400 individuals aged 30–70 years with chronic diseases in Moinabad, India. Food insecurity was assessed using the Food Insecurity Experience Scale, and medication adherence was measured using the Morisky Medication Adherence Scale. Logistic regression analysis was performed to identify factors associated with low medication adherence.</div></div><div><h3>Results</h3><div>The prevalence of food insecurity was 48.75 %, with 22 % experiencing severe and 26.75 % experiencing moderate food insecurity. Participants aged 30–49 years, unmarried individuals, those with low household income and socioeconomic status (SES), and those with addiction had significantly higher odds of low medication adherence. Severe food insecurity (OR = 16.56, 95 % CI: 7.97–32.61) and moderate food insecurity (OR = 5.76, 95 % CI: 3.65–10.06) were strongly associated with low medication adherence, even after adjusting for confounders.</div></div><div><h3>Conclusion</h3><div>Food insecurity is prevalent among individuals with chronic diseases in rural India and is strongly associated with low medication adherence. Interventions addressing food insecurity and medication adherence barriers are urgently needed to improve health outcomes in this population. Longitudinal studies are warranted to explore the temporal relationships between food insecurity, medication adherence, and health outcomes.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"33 ","pages":"Article 102033"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Attack rate and determinants of malaria outbreak in Ethiopia: A systematic review and meta-analysis 埃塞俄比亚疟疾暴发的发病率和决定因素：系统回顾和荟萃分析

IF 2.3

Clinical Epidemiology and Global Health Pub Date : 2025-04-24 DOI: 10.1016/j.cegh.2025.102045

Diriba Etana Tola , Azeb Haile Tesfaye , Lencho Kajela Solbana , Shalama Lekasa Nagari , Zenebu Begna Bayissa , Eshetu Ejeta Chaka

{"title":"Attack rate and determinants of malaria outbreak in Ethiopia: A systematic review and meta-analysis","authors":"Diriba Etana Tola , Azeb Haile Tesfaye , Lencho Kajela Solbana , Shalama Lekasa Nagari , Zenebu Begna Bayissa , Eshetu Ejeta Chaka","doi":"10.1016/j.cegh.2025.102045","DOIUrl":"10.1016/j.cegh.2025.102045","url":null,"abstract":"<div><h3>Background</h3><div>Malaria remains a public health challenge in Ethiopia. Despite progress in reducing cases and deaths, there has been a resurgence. This highlights the need to identify driving factors for malaria outbreaks and sustain progress toward elimination. This study aims to determine the overall attack rate of malaria outbreaks and identify the key determinants.</div></div><div><h3>Methods</h3><div>The study was registered with PROSPERO with the registration code CRD42025645940. Databases, including PubMed, EMBASE, Google Scholar, Google, and Web of Science. Analyzed using R version 4.2.3 and Stata version 17.0.</div></div><div><h3>Results</h3><div>In this study, the pooled estimated attack rate of malaria outbreaks in Ethiopia was 3 % (95 % CI: 2 %–5 %). Presence of stagnant water (OR = 3.45; 95 % CI: 2.06, 4.84), staying outside at night (OR = 3.79; 95 % CI: 2.39, 5.20), not using insecticide-treated bed nets (OR = 3.52; 95 % CI: 3.13, 3.92), lack of knowledge about transmission and preventions methods (OR = 4.73; 95 % CI: 1.67, 7.80), knowing transmission and prevention methods (OR = 0.38; 0.13, 0.64), presence of breeding sites (OR = 3.40; 95 % CI: 1.35, 5.44), not using indoor chemical sprays (OR = 3.19; 1.76, 4.63).</div></div><div><h3>Conclusion</h3><div>To combat these outbreaks, a comprehensive approach is recommended, involving environmental management to eliminate mosquito breeding sites, public health education, and increasing access to preventive tools such as ITNs and indoor residual spraying. Addressing these determinants effectively can reduce malaria outbreaks, leading to a decrease in morbidity and mortality, and improve public health outcomes.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"33 ","pages":"Article 102045"},"PeriodicalIF":2.3,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143873701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Circulating Asprosin and Neuregulin-4 in metabolic dysfunction-associated steatotic liver disease (MASLD): A systematic review and meta-analysis 循环Asprosin和Neuregulin-4在代谢功能障碍相关脂肪变性肝病（MASLD）中的作用：一项系统综述和荟萃分析

IF 2.3

Clinical Epidemiology and Global Health Pub Date : 2025-04-23 DOI: 10.1016/j.cegh.2025.102041

Roshan Kumar Mahat , Vedika Rathore

{"title":"Circulating Asprosin and Neuregulin-4 in metabolic dysfunction-associated steatotic liver disease (MASLD): A systematic review and meta-analysis","authors":"Roshan Kumar Mahat , Vedika Rathore","doi":"10.1016/j.cegh.2025.102041","DOIUrl":"10.1016/j.cegh.2025.102041","url":null,"abstract":"<div><h3>Background</h3><div>Adipokines, such as asprosin and neuregulin 4 (Nrg4), are implicated in the pathogenesis of metabolic dysfunction-associated steatotic liver disease (MASLD) and may function as potential diagnostic biomarkers and therapeutic targets. The objective of this meta-analysis is to compare the circulating levels of asprosin and Nrg4 between populations with MASLD and those without the condition.</div></div><div><h3>Methods</h3><div>A systematic review and meta-analysis were conducted in accordance with the PRISMA guidelines. Databases including PubMed, Scopus, and Europe PMC were systematically searched for observational studies published until October 7, 2024. Inclusion criteria consisted of studies that reported extractable data on circulating asprosin and Nrg4 in populations with and without MASLD. Random-effects models were employed to calculate standardized mean differences (SMDs) and mean differences (MDs) with 95 % confidence intervals (CIs). Heterogeneity among studies was assessed using Cochrane's Q test, as well as <em>I</em><sup><em>2</em></sup> and Tau<sup>2</sup> statistics. Furthermore, sensitivity analysis and publication bias were evaluated to ensure the robustness of the findings.</div></div><div><h3>Results</h3><div>Ten studies were included, with four analysing asprosin and six analysing Nrg4. Patients with MASLD exhibited significantly higher circulating asprosin levels (SMD = 0.82, 95 % CI: 0.49–1.15; <em>p</em> < 0.01; <em>I</em><sup><em>2</em></sup> = 65 %) and lower Nrg4 levels (SMD = −1.12, 95 % CI: 1.77 to −0.46; <em>p</em> < 0.01; <em>I</em><sup><em>2</em></sup> = 94 %) compared to non-MASLD individuals. Sensitivity analyses confirmed the robustness of these findings.</div></div><div><h3>Conclusions</h3><div>Elevated asprosin and reduced Nrg4 levels are associated with MASLD, highlighting their potential as biomarkers and therapeutic targets. Further studies are warranted to validate these findings.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"33 ","pages":"Article 102041"},"PeriodicalIF":2.3,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143873699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The relationship between age, obesity indices, and cardiometabolic risk factors in Women: Findings from a point-of-care health screening in South Sulawesi, Indonesia 年龄、肥胖指数和妇女心脏代谢危险因素之间的关系：来自印度尼西亚南苏拉威西的一项即时保健筛查的发现

IF 2.3

Clinical Epidemiology and Global Health Pub Date : 2025-04-23 DOI: 10.1016/j.cegh.2025.102048

Ika Yustisia , Liong Boy Kurniawan , Tenri Esa , Syahrijuita , Sri Astuti Thamrin

{"title":"The relationship between age, obesity indices, and cardiometabolic risk factors in Women: Findings from a point-of-care health screening in South Sulawesi, Indonesia","authors":"Ika Yustisia , Liong Boy Kurniawan , Tenri Esa , Syahrijuita , Sri Astuti Thamrin","doi":"10.1016/j.cegh.2025.102048","DOIUrl":"10.1016/j.cegh.2025.102048","url":null,"abstract":"<div><h3>Background</h3><div>Metabolic syndrome (MetS) significantly increases the risk of diabetes mellitus and cardiovascular disease. The prevalence of MetS is higher in women due to factors such as pregnancy, menopause, and lifestyle habits. In Indonesia, MetS affects 21.66 % of the population, with women being disproportionately affected. Biomarkers may improve diagnosis; early detection is essential for care and prevention. This study evaluates health screening results among women in South Sulawesi, Indonesia, to provide insights into MetS prevalence and risk factors.</div></div><div><h3>Methods</h3><div>Using point-of-care devices, this study analyzed data sources on health examination results from a community service activity attended by 139 female participants undergoing a comprehensive health assessment, including anthropometric, blood pressure, and biochemical measurements.</div></div><div><h3>Results</h3><div>The study's findings revealed a range of significant health concerns among the female participants, including hypertension, hyperuricemia, hypercholesterolemia, and obesity. These conditions were found to increase with age. The study also identified specific cutoff values for body weight and body mass index that could predict hypertension, 57.7 kg and 24.8 kg/m2, respectively, and the visceral fat index that could indicate potential hyperuricemia was 8.8.</div></div><div><h3>Conclusion</h3><div>Metabolic health screening identifies obesity, hypertension, hypercholesterolemia, and hyperuricemia as key concerns for women's health in South Sulawesi, Indonesia. These findings highlight the need for further validation and targeted interventions to improve women's metabolic health<strong>.</strong></div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"33 ","pages":"Article 102048"},"PeriodicalIF":2.3,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trends in overweight and obesity among reproductive-age women in sub-Saharan African countries from 1990 to 2030: Progress towards 2030 SDG nutrition targets 1990年至2030年撒哈拉以南非洲国家育龄妇女超重和肥胖趋势：实现2030年可持续发展目标营养具体目标的进展

IF 2.3

Clinical Epidemiology and Global Health Pub Date : 2025-04-23 DOI: 10.1016/j.cegh.2025.102044

A.A. Tareke , A. Mohammed , Y. Ali , A. Muche

{"title":"Trends in overweight and obesity among reproductive-age women in sub-Saharan African countries from 1990 to 2030: Progress towards 2030 SDG nutrition targets","authors":"A.A. Tareke , A. Mohammed , Y. Ali , A. Muche","doi":"10.1016/j.cegh.2025.102044","DOIUrl":"10.1016/j.cegh.2025.102044","url":null,"abstract":"<div><h3>Objective</h3><div>We aimed to determine the trends of overweight and obesity among women of reproductive age (WRA) in sub-Saharan countries from 1990 to 2030. We also calculated the likelihood of achieving the Sustainable Development Goals (SDGs) in this region.</div></div><div><h3>Study design</h3><div>Repeated cross-sectional study.</div></div><div><h3>Methods</h3><div>The study employed 122 nationally representative cross-sectional survey datasets from 32 countries within sub-Saharan Africa. A Bayesian linear regression model was employed to determine overweight and obesity estimates, complete with 95 % credible intervals, based on data from 769,724 women.</div></div><div><h3>Results</h3><div>Twenty-eight countries (87.5 %) showed an increasing trend compared with the 1990 overweight value. Only four countries (Burundi, Congo, Lesotho, and Sierra Leone) showed a decreasing trend. In all countries except Lesotho, the proportion of overweight has increased since 2015. From 2024 to 2030, no country is expected to experience a decline in overweight prevalence. Of the 32 countries, 31 (96.88 %) have an increasing obesity rate. Only Sierra Leone shows a decreasing trend from 1990 to 2024. The prevalence of obesity has increased in all 32 countries since the start of the SDGs. No country is on track to meet the SDG target of eliminating all forms of malnutrition related overweight and obesity by 2030.</div></div><div><h3>Conclusions</h3><div>The increasing prevalence of overweight and obesity among WRA in SSA is a significant concern. Aggressive interventions are required to address this problem. New initiatives beyond the SDG era may also be needed to prevent the ongoing surge.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"33 ","pages":"Article 102044"},"PeriodicalIF":2.3,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143876515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence of young-onset diabetes and associated physical activity profile in southern India 印度南部青少年糖尿病患病率及相关身体活动概况

IF 2.3

Clinical Epidemiology and Global Health Pub Date : 2025-04-23 DOI: 10.1016/j.cegh.2025.102040

Anupama Harihar , G. Arun Maiya , Sahana Shetty , Shivashankar K.N. , Shyamasunder Bhat N.

{"title":"Prevalence of young-onset diabetes and associated physical activity profile in southern India","authors":"Anupama Harihar , G. Arun Maiya , Sahana Shetty , Shivashankar K.N. , Shyamasunder Bhat N.","doi":"10.1016/j.cegh.2025.102040","DOIUrl":"10.1016/j.cegh.2025.102040","url":null,"abstract":"<div><h3>Background/objective</h3><div>A temporal shift is noticed in the age of diagnosis of type 2 diabetes mellitus among young adults globally. Physical inactivity is a significant contributor to the higher prevalence of young-onset diabetes in India. This study aims to estimate the prevalence of young-onset diabetes in southern India and to identify the physical activity level and barriers in young adults.</div></div><div><h3>Methods</h3><div>This is a cross-sectional study including individuals aged 18–40 years. A total of 273 participants were included by random selection of individuals attending a tertiary hospital for routine checkups. In the first stage, the prevalence of type 2 diabetes was estimated using capillary blood glucose level evaluation. The second stage includes the profiling of physical activity & identification of barriers to physical activity among physically inactive individuals using a self-reported questionnaire.</div></div><div><h3>Result</h3><div>The overall prevalence of young-onset type 2 diabetes was found to be 17.2 %. Pre-existing type 2 diabetes was 11.3 %, while 5.8 % of new cases were found with no previous history of diabetes. In males, the prevalence was 10.6 %, whereas in females, it was 6.5 %. The majority of individuals with young-onset type 2 diabetes were physically inactive, and the most common barriers identified were lack of time, willpower, and energy.</div></div><div><h3>Conclusion</h3><div>This study reveals a high prevalence of type 2 diabetes below the age of 40 years in India. Screening for diabetes by the age of 25 years is highly recommended. Management strategies are needed to overcome the identified barriers and promote physical activity in young adults.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"33 ","pages":"Article 102040"},"PeriodicalIF":2.3,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143873700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0